Individual
GELSHI DODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 COUNTY FARM RD, RIVERSIDE, CA 92503-3507
(909) 421-7120
Mailing address
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316-2639
(909) 421-7120
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
744736
CA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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